Provider Demographics
NPI:1740644376
Name:OSBORNE, CAROLINE STOKES (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:STOKES
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3010 FARROW RD STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-7606
Practice Address - Country:US
Practice Address - Phone:803-434-1210
Practice Address - Fax:803-434-1212
Is Sole Proprietor?:No
Enumeration Date:2016-04-10
Last Update Date:2023-06-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC40416207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC404164Medicaid